Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,045.00 / $6,915.00	Facility		$1,202.00	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,308.89 / $1,579.31 / $2,148.32	Facility		$1,308.89	$1,579.31	$2,148.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.08 / $854.08 / $6,507.97	Facility		$854.08	$854.08	$6,507.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.56 / $84.56 / $84.56	Facility	AS	$84.56	$84.56	$84.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.73 / $1,198.61 / $1,866.40	Professional		$824.73	$1,198.61	$1,866.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.74 / $29.74 / $29.74	Professional	AS	$29.74	$29.74	$29.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,836.00	Facility		$1,800.00	$6,206.00	$8,836.00